Organization
NN DENTAL SERVICES CO
Active
Other names
NN Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINO GOGINASHVILI (OWNER)
(215) 969-2089
Entity
Organization
Contact information
Practice address
11710 BUSTLETON AVE, PHILADELPHIA, PA 19116-2516
(215) 969-2089
Mailing address
11710 BUSTLETON AVE, PHILADELPHIA, PA 19116-2516
(215) 969-2089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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